Family Med - Sheet1

Question 1

ADA Screening Recommendations

Answer 1

BMI >25 and high risk: screen; Asymptomatic adults >45: screen q3 years if normal

Question 2

USPSTF Diabetes Screen

Answer 2

Asymptomatic adults with BP >135/80: screen

Question 3

Diabetes: when to start moderate intensity statin

Answer 3

LDL >70, Age 40-75

Question 4

Diabetes: when to start high intensity statin

Answer 4

LDL >70, Age 40-75; ASCVD risk >7.5%

Question 5

HTN goal: Diabetic patients

Answer 5

<140/90

Question 6

Diabetes: aspirin prophylaxis

Answer 6

Only in patients with prior CVD

Question 7

Optimal fasting blood glucose

Answer 7

80-120

Question 8

Optimal postprandial blood glucose

Answer 8

<180

Question 9

Vaccines recc’d for diabetics

Answer 9

Influenza, Pneumococcal, Hep B

Question 10

BP med to use in CKD

Answer 10

ACE or ARB

Question 11

BP med to use in Diabetes (no CKD)

Answer 11

ACE, ARB, CCB, or thiazide diuretic

Question 12

BP med to use in black <60 population

Answer 12

CCB or thiazide diuretic

Question 13

Drug to avoid in patients with gout

Answer 13

Thiazide diuretics (may precipitate flares)

Question 14

Thiazide diuretics may cause

Answer 14

hyponatremia, urinary incontinence

Question 15

Threshold dose of thiazide diuretics

Answer 15

25 mg

Question 16

Beta blockers: when to avoid

Answer 16

asthma, 3rd degree heart block

Question 17

ACEi: side effects

Answer 17

rise in cr (<35% acceptable), cough, angioedema; contraindicated in preg

Question 18

Which drugs reduce micro- and macroalbumuria?

Answer 18

ACE: micro, ARB: micro and macro

Question 19

Pt with Raynaud’s and HTN: what to use?

Answer 19

CCBs

Question 20

Aldosterone antagonists: when to avoid

Answer 20

Starting [K] >5; high doses in pt with CHF (may precipitate sudden death)

Question 21

Heel walk difficulty. What level herniation?

Answer 21

L5

Question 22

Toe walk difficulty. What level herniation?

Answer 22

S1

Question 23

When can a woman stop pap smears?

Answer 23

1. Between the ages of 65 and 70, if 3 or more normal pap smears in the last 10 years
2. Prior hysterectomy (total) for benign disease (e.g. fibroids)

Question 24

Cervical Cancer Screening Guidelines

Answer 24

1. Ages 21-65: Every 3 years with normal cytology
2. Ages 30-65: Every 5 years w/cotesting
3. Ages 65-70: may stop if 3 previous paps over 10 years were normal